瑞典监狱女性中注意缺陷多动障碍、物质使用及共病问题的流行病学研究。
An epidemiological study of ADHD, substance use, and comorbid problems in incarcerated women in Sweden.
作者信息
Konstenius Maija, Larsson Henrik, Lundholm Lena, Philips Bjorn, van de Glind Geurt, Jayaram-Lindström Nitya, Franck Johan
机构信息
Karolinska Institutet, Stockholm, Sweden
Karolinska Institutet, Stockholm, Sweden.
出版信息
J Atten Disord. 2015 Jan;19(1):44-52. doi: 10.1177/1087054712451126. Epub 2012 Jul 13.
OBJECTIVE
The aim of this study was to examine the prevalence of ADHD and psychiatric comorbidity, including substance use in incarcerated women.
METHOD
This was a cross-sectional study, consisting of two parts: (a) screening using the ADHD Self-Rating Scale (ASRS) and (b) diagnostic assessment using a structured interview.
RESULTS
A sample of 96 incarcerated women was screened and 56 underwent the diagnostic assessment. Twenty-nine percent of the women met the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnostic criteria for adult ADHD in the diagnostic assessment. Forty-four of the women had misuse of alcohol, and 83% had misuse of narcotics the year prior to the incarceration. The ASRS showed sensitivity of 1.0 and specificity of 0.66.
CONCLUSION
The prevalence rate of ADHD in incarcerated women was high and comparable to that in male offenders. Illicit stimulant use and antisocial personality disorder were significantly more common in women with ADHD. ASRS is useful as a screener in this population.
目的
本研究旨在调查被监禁女性中注意力缺陷多动障碍（ADHD）及精神共病的患病率，包括物质使用情况。
方法
这是一项横断面研究，包括两个部分：（a）使用ADHD自评量表（ASRS）进行筛查；（b）使用结构化访谈进行诊断评估。
结果
对96名被监禁女性进行了筛查，其中56人接受了诊断评估。在诊断评估中，29%的女性符合《精神疾病诊断与统计手册》（第4版）中成人ADHD的诊断标准。44名女性存在酒精滥用问题，83%的女性在入狱前一年存在麻醉品滥用问题。ASRS的灵敏度为1.0，特异度为0.66。
结论
被监禁女性中ADHD的患病率较高，与男性罪犯相当。ADHD女性中非法使用兴奋剂和反社会人格障碍更为常见。ASRS作为该人群的筛查工具很有用。
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